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CHRIS MICHAEL PACKHAM LAADC, WTS, CS
NPI 1821692500
Counselor - Addiction (Substance Use Disorder) in San Jose, CA

Active since November 24, 2020
1101 PARK AVE, SAN JOSE, CA 95126(408) 915-1321(408) 297-7450 Get Directions Write a Review

NPPES record last updated: November 24, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Chris Michael Packham Laadc, Wts, Cs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRIS MICHAEL PACKHAM LAADC, WTS, CS (NPI 1821692500) is an individual addiction (substance use disorder) provider in San Jose, California, licensed in California (LCI04620615) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1821692500
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameCHRIS MICHAEL PACKHAMCredential: LAADC, WTS, CS
Location Address1101 PARK AVESan Jose, CA 95126-2911
Mailing Address1101 Park AveSan Jose, CA 95126-2911 · (408) 915-1321 · Fax (408) 297-7450
Phone(408) 915-1321
Fax(408) 297-7450
Sole ProprietorYes
Enumeration DateNovember 24, 2020
NPPES CertifiedNovember 24, 2020
✔ NPI 1821692500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · LCI04620615
1101 PARK AVE, San Jose, CA 95126
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEW LIFE RECOVERY CENTERS, INC.
Substance Abuse Rehabilitation Facility
1101 PARK AVE
SAN JOSE, CA 95126
Santa Clara County (408) 297-1182

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chris Packham's NPI number?

The NPI number for Chris Packham is 1821692500. It was assigned to this individual provider in the NPPES registry on November 24, 2020.

Where is Chris Packham located?

Chris Packham practices at 1101 Park Ave, San Jose, CA 95126. The listed phone number is (408) 915-1321.

What is Chris Packham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Chris Packham was last updated on November 24, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.